How to improve sexual health for middle-aged and elderly people

　The secretion of gonadal hormones is regulated by the hypothalamus-pituitary axis, and the hypothalamus is influenced by the cerebral cortex. Simply supplementing with androgens without addressing the root cause will inevitably inhibit the hypothalamus-pituitary axis’s role in promoting hormone secretion, reducing the testes’ ability to secrete androgens and thus causing further decline in sexual function in the elderly. So, how can middle-aged and elderly people enhance their sexual ability?

Generally, men experience a rapid decline in sexual function as they age, with varying degrees of reduction in penile erection strength and ejaculation volume. To alleviate this, they often consume bull penis, sheep testicles, or take various traditional Chinese medicines for aphrodisiac purposes. However, these treatments are often largely ineffective. This is because gonadal secretion is regulated by the hypothalamus-pituitary axis, which is influenced by the cerebral cortex. Simply supplementing with androgens without addressing the root cause will inevitably inhibit the hypothalamus-pituitary axis’s role in promoting hormone secretion, further reducing the testes’ ability to secrete androgens and leading to a further decline in sexual function in older men. So, how can middle-aged and elderly men enhance their sexual function?

　1. Maintain a moderate sex life:

　　Like other organs in the human body, the sexual organs also follow the principle of “use it or lose it.” The nerve center controlling sexual activity in the human body is located in the hypothalamus. Harmonious sexual activity can activate the nerves in this area, enhance the endocrine function of the hypothalamus-pituitary-gonadal axis, promote the secretion of sex hormones, and help maintain sexual ability for a longer period. Of course, sexual activity should also be moderate. Excessive sexual activity can not only cause discomfort such as lower back pain and fatigue, but also easily lead to sexual dysfunction and even diseases such as prostatitis, seminal vesiculitis, and benign prostatic hyperplasia.

2. It is important to rest appropriately after sexual activity:

　　Some people are exhausted after a busy day at work and have no interest in sex after going to bed at night. Forcing intercourse at this time will inevitably affect the quality of their sex life. Older individuals can schedule sex in the morning before getting out of bed. However, it’s important to rest lying down for a while after each sexual encounter. When lying down, the testicles are at the same level as the heart, which facilitates the return of venous blood from the testicles, greatly benefiting the maintenance and rapid recovery of testicular function.

　3. Develop the habit of taking a warm bath before bed:

　　During the day, the sympathetic nervous system is in an excited state, while at night, the parasympathetic nervous system is in an excited state. Taking a bath before bed can relax the mind, eliminate daytime tension, and help the body better adapt to the nighttime regulation of the autonomic nervous system, which is beneficial for improving sleep and enhancing sexual function. However, it is important to note that the bath water should not be too hot, as excessively hot water can not only cause the testicles to overheat and reduce their function, but also cause significant dilation of blood vessels throughout the body, resulting in insufficient blood supply to the brain and causing fatigue.

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How to improve sexual health for middle-aged and elderly people